King, Sandy Lynn

King, Sandy Lynn is an individual health care provider with primary practice located at 1003 Schneider Dr , Malvern AR 72104-4811. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. King, Sandy Lynn can be contacted via phone (888) 710-8220.

Contact Information

Primary practice address
1003 Schneider Dr Malvern AR 72104-4811
Phone: (888) 710-8220
Fax: (866) 573-0761
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 215948 Arkansas

Profile Details

NPI number 1972270445
LBN Legal business name King, Sandy Lynn
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2021
Last updated May 26th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972270445 NPPES
Arkansas MEDICAID 273842758

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